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November 21, 2009
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Reflux Laryngitis

Medical Author: John P. Cunha, DO, FACOEP
Medical Editor: Jay W. Marks, MD

Why does reflux laryngitis occur?

Reflux is caused by weakness in the muscle at the junction of the esophagus with the stomach. Normally, this muscular valve, or sphincter, functions to keep food and stomach acid from moving upward from the stomach to the esophagus and larynx. This valve opens to allow food into the stomach and closes to keep the stomach's contents from coming back up. The backward movement of stomach contents (gastric contents) up into the esophagus is referred to as gastroesophageal reflux.

Additionally, any increase in abdominal pressure (such as obesity), which can push acid back from the stomach up the esophagus, or a  patient with a hiatal hernia, will have an increased risk for reflux. When it causes symptoms, it is referred to as gastroesophageal reflux disease (or GERD). When the acid backs up into the voice box (larynx), the condition is referred to as reflux laryngitis.

Stomach acid can cause irritation of the lining of the esophagus, larynx, and throat. This can lead to:

Rarely, reflux can lead to cancers of the esophagus or larynx.



Next: What are the typical symptoms of reflux laryngitis? »

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Reflux Laryngitis

What Causes Esophagitis?

Esophagitis is caused by an infection or irritation in the esophagus. An infection can be caused by bacteria, viruses, fungi, or diseases that weaken the immune system. Infections that cause esophagitis include:

  • Candida. This is a yeast infection of the esophagus caused by the same fungus that causes vaginal yeast infections. The infection develops in the esophagus when the body's immune system is weak (such as in people with diabetes or HIV). It is usually very treatable with antifungal drugs.
  • Herpes. Like Candida, this viral infection can develop in the esophagus when the body's immune system is weak. It is treatable with antiviral drugs.

Irritation causing esophagitis may be caused by any of the following:

  • GERD, or gastroesophageal reflux disease
  • Vomiting
  • Surgery
  • Medications such as aspirin and other anti-inflammatory drugs
  • Taking a large pill wi...

Read the Esophagitis article »










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